California State Board of Optometry
Licensing details for: 6838
Name: COSTCO WHOLESALE #454
License Type: Registered Dispensing Ophthalmic Business
Primary Status: Current

Address of Record
115 TECHNOLOGY DR
IRVINE CA 92618
ORANGE county
Map
License Relationships
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: LIU, ADAM JAMES
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8180 Primary Status: Current
Address :
42 Canoe
IRVINE CA 92618-8841
ORANGE COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: Aquino, Reinelda
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8601 Primary Status: Current
Address :
13452 Woodland Dr
TUSTIN CA 92780-4729
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: WHITE, CYNTHIA LOUISE
License/Registration Type: Registered Contact Lens Dispenser
License Number: 2047 Primary Status: Cancelled
Address :
6315 E Boothwyn St
PRESCOTT VALLEY AZ 86314-6727
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: YOOK, KENN
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8115 Primary Status: Current
Address :
7995 E Viewrim Dr
ANAHEIM CA 92808-2135
ORANGE COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: TAYLOR, SCOTT CHRISTOPHER
License/Registration Type: Registered Contact Lens Dispenser
License Number: 1831 Primary Status: Current
Address :
324 S Vista Del Canon
ANAHEIM CA 92807-3836
ORANGE COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: LE, ANTHONY NGUYEN
License/Registration Type: Registered Contact Lens Dispenser
License Number: 2049 Primary Status: Delinquent
Address :
7085 ROCKAWAY COURT
HUNTINGTON BEACH CA 92648
ORANGE COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: KIM, SUNG UK
License/Registration Type: Registered Contact Lens Dispenser
License Number: 2247 Primary Status: Cancelled
Address :
308 Las Palmas Dr
IRVINE CA 92602-2313
ORANGE COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: THRELFALL, APRIL
License/Registration Type: Registered Contact Lens Dispenser
License Number: 1785 Primary Status: Cancelled
Address :
25162 CHARLINDA #B31
MISSION VIEJO CA 92691
ORANGE COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: Cho, Lesley K.
License/Registration Type: Registered Contact Lens Dispenser
License Number: 9272 Primary Status: Current
Address :
537 San Leon
Irvine, CA 92606
IRVINE CA 92606-8262
ORANGE COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: Hix, Christina Maria
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8460 Primary Status: Current
Address :
422 S Bedford Rd
ORANGE CA 92868-4108
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: Romero, Jordan David
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8642 Primary Status: Current
Address :
2 Enterprise
Apartment 1203
ALISO VIEJO CA 92656-6028
ORANGE COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: Gonzalez, Jason Gabriel
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8673 Primary Status: Current
Address :
14202 Raintree Rd
TUSTIN CA 92780-6835
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: HUANG, HELEN HSI PING
License/Registration Type: Registered Contact Lens Dispenser
License Number: 7977 Primary Status: Delinquent
Address :
31 FOXHILL
IRVINE CA 92604-3088
ORANGE COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: kim, sewon
License/Registration Type: Registered Contact Lens Dispenser
License Number: 8569 Primary Status: Cancelled
Address :
1110 101st St Ct
E5
E5
TACOMA WA 98445
PIERCE COUNTY
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Contact Lens Dispenser
Name: MINOGUE, RICHARD JOSEPH
License/Registration Type: Registered Contact Lens Dispenser
License Number: 1926 Primary Status: Current
Address :
1725 S Granite Ave
ONTARIO CA 91762-5918
LOS ANGELES COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: Cho, Lesley K.
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 43234 Primary Status: Current
Address :
537 San Leon
IRVINE CA 92606-8262
ORANGE COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: Ahanchi, Mojtaba
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 43112 Primary Status: Delinquent
Address :
24331 Via Santa Clara
MISSION VIEJO CA 92692-1921
ORANGE COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: Romero, Jordan David
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 41857 Primary Status: Current
Address :
2 Enterprise
Apartment 1203
ALISO VIEJO CA 92656-6028
ORANGE COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: Hix, Christina Maria
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 41500 Primary Status: Current
Address :
422 S Bedford Rd
ORANGE CA 92868-4108
ORANGE COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: YOOK, KENN
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 40476 Primary Status: Current
Address :
7995 E Viewrim Dr
ANAHEIM CA 92808-2135
ORANGE COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: LE, ANTHONY NGUYEN
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 6207 Primary Status: Delinquent
Address :
7085 ROCKAWAY COURT
HUNTINGTON BEACH CA 92648
ORANGE COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: BEST, FAITH
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 2638 Primary Status: Cancelled
Address :
4225 E Alderdale Ave
ANAHEIM CA 92807-2816
ORANGE COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: MORALES, MELISSA MARIE
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 4594 Primary Status: Current
Address :
2345 E Dana Ave
ORANGE CA 92867-7805
ORANGE COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: KIM, SUNG UK
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 6701 Primary Status: Cancelled
Address :
308 Las Palmas Dr
IRVINE CA 92602-2313
ORANGE COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: kim, sewon
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 41927 Primary Status: Cancelled
Address :
1110 101st St Ct
E5
E5
TACOMA WA 98445
PIERCE COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: MINOGUE, RICHARD JOSEPH
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 5951 Primary Status: Current
Address :
1725 S Granite Ave
ONTARIO CA 91762-5918
LOS ANGELES COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: TAYLOR, SCOTT CHRISTOPHER
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 5790 Primary Status: Current
Address :
324 S Vista Del Canon
ANAHEIM CA 92807-3836
ORANGE COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: Gonzalez, Jason Gabriel
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 42331 Primary Status: Current
Address :
14202 Raintree Rd
TUSTIN CA 92780-6835
ORANGE COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: HUANG, HELEN HSI PING
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 40068 Primary Status: Delinquent
Address :
31 Foxhill
IRVINE CA 92604-3088
ORANGE COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: DOMINQUEZ, MICHAEL R
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 4017 Primary Status: Current
Address :
20347 Ivy Hill Ln
YORBA LINDA CA 92886-6623
ORANGE COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: Aquino, Reinelda
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 41843 Primary Status: Current
Address :
13452 Woodland Dr
TUSTIN CA 92780-4729
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Dispensing Ophthalmic Business
Related Party Role: Registered Spectacle Lens Dispenser
Name: MALLIN, STEPHEN M
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 2654 Primary Status: Cancelled
Address :
26701-268 QUAIL CREEK
LAGUNA HILLS CA 92656
ORANGE COUNTY



